Champion Performance Physical Therapy, Pc

LBN: Champion Performance Physical Therapy, Pc
Champion Performance Physical Therapy, Pc is an health care organization with primary practice located at 12611 Hymeadow Dr , Austin TX 78729-2700. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Champion Performance Physical Therapy, Pc can be contacted via phone (512) 996-0441, or through Powell, Christie Jean via phone (512) 996-0441.

Contact Information

Primary practice address
12611 Hymeadow Dr Austin TX 78729-2700
Phone: (512) 996-0441
Fax: (512) 996-0442
Website:
Map and Directions
Authorized official contact:
Name: Powell, Christie Jean MSPT
Phone: (512) 996-0441

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 656610000 Texas

Profile Details

NPI number 1942279823
LBN Legal business name Champion Performance Physical Therapy, Pc
DBA Doing business as
Authorized official Powell, Christie Jean MSPT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 28th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942279823 NPPES
Texas Other 3418380 CIGNA
Texas Other 0045MR CIGNA
Texas Other 7141718 CIGNA

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